Level 4 Musculoskeletal Procedures in Oklahoma
What 55 hospitals in Oklahoma charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$40,831
Hospital list price billed
Average allowed
$6,079
Medicare's payment + patient's share
Medicare paid
$4,818
Average per service
State rank
#8 of 49
1 = lowest average payment
Hospitals in Oklahoma billed an average of $40,831 for level 4 musculoskeletal procedures, about 6.7 times the average medicare-allowed amount of $6,079. That payment is 9% below the U.S. average of $6,708.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $6,079Billed $40,831
About 15¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 4 musculoskeletal procedures
Every Oklahoma hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Oklahoma Surgical Hospital, LLCTulsa | 339 | $28,345 | $5,975 | $4,736 |
| Community HospitalOklahoma City | 323 | $51,070 | $6,073 | $4,818 |
| McBride Clinic Orthopedic Hospital, L L COklahoma City | 297 | $16,773 | $6,048 | $4,794 |
| Mercy Health Center, INCOklahoma City | 287 | $19,018 | $6,100 | $4,847 |
| Oklahoma Center for Orthopaedic & Multi-SpOklahoma City | 248 | $27,448 | $5,956 | $4,709 |
| Saint Francis Hospital, INCTulsa | 209 | $38,678 | $5,899 | $4,665 |
| Oklahoma Spine HospitalOklahoma City | 190 | $25,191 | $6,138 | $4,883 |
| St Anthony HospitalOklahoma City | 185 | $49,640 | $6,004 | $4,751 |
| Ascension St John Broken ArrowBroken Arrow | 153 | $36,564 | $5,980 | $4,744 |
| Stillwater Medical CenterStillwater | 140 | $32,685 | $6,452 | $5,109 |
| Integris Baptist Medical CenterOklahoma City | 126 | $71,606 | $5,990 | $4,749 |
| O U Medical CenterOklahoma City | 119 | $95,082 | $6,123 | $4,868 |
| Tulsa Spine & Specialty HospitalTulsa | 115 | $41,243 | $5,991 | $4,753 |
| Hillcrest Medical CenterTulsa | 109 | $59,264 | $6,028 | $4,774 |
| Norman Regional Health SystemNorman | 87 | $50,082 | $6,164 | $4,909 |
| Duncan Regional Hospital, INCDuncan | 80 | $51,294 | $6,444 | $5,120 |
| Surgical Hospital of OklahomaOklahoma City | 75 | $41,384 | $5,927 | $4,665 |
| Mercy Memorial Health CenterArdmore | 67 | $20,560 | $6,601 | $5,259 |
| Onecore HealthOklahoma City | 66 | $62,753 | $6,164 | $4,911 |
| Integris Health Edmond HospitalEdmond | 64 | $75,758 | $6,102 | $4,842 |
| Saint Francis Hospital SouthTulsa | 60 | $34,299 | $5,836 | $4,598 |
| St John Medical Center, INCTulsa | 58 | $35,538 | $6,164 | $4,911 |
| Summit Medical CenterEdmond | 55 | $57,124 | $5,904 | $4,644 |
| Jackson County Memorial HospitalAltus | 54 | $22,198 | $6,451 | $5,093 |
| Oklahoma Heart Hospital SouthOklahoma City | 51 | $46,652 | $6,067 | $4,815 |
| Jane Phillips Medical CenterBartlesville | 49 | $38,191 | $6,507 | $5,175 |
| Comanche County Memorial HospitalLawton | 46 | $38,432 | $5,654 | $4,419 |
| Northeastern Health SystemTahlequah | 45 | $20,228 | $6,315 | $4,992 |
| Muskogee Regional Medical CenterMuskogee | 42 | $35,228 | $5,758 | $4,523 |
| Integris Southwest Medical CenterOklahoma City | 41 | $71,304 | $6,164 | $4,900 |
| Hillcrest Hospital SouthTulsa | 41 | $48,359 | $5,924 | $4,671 |
| Bailey Medical Center, L L COwasso | 41 | $74,394 | $5,957 | $4,722 |
| Midwest Regional Medical CenterMidwest City | 38 | $80,578 | $5,905 | $4,652 |
| McAlester Regional Health CenterMcAlester | 37 | $14,729 | $6,366 | $5,044 |
| Claremore Regional HospitalClaremore | 35 | $60,698 | $6,075 | $4,835 |
| Northwest Surgical HospitalOklahoma City | 31 | $49,443 | $6,011 | $4,752 |
| Alliancehealth DurantDurant | 30 | $114,099 | $6,203 | $4,938 |
| St Mary's Regional Medical CenterEnid | 28 | $39,012 | $6,075 | $4,840 |
| Grady Memorial HospitalChickasha | 26 | $28,359 | $6,307 | $4,983 |
| Integris Health Ponca CityPonca City | 23 | $40,430 | $6,281 | $4,959 |
| Integris Canadian Valley HospitalYukon | 23 | $83,829 | $5,955 | $4,683 |
| St John OwassoOwasso | 22 | $36,004 | $6,075 | $4,827 |
| Integris Grove General HospGrove | 20 | $47,592 | $6,506 | $5,184 |
| Mercy Hospital AdaAda | 17 | $26,321 | $6,601 | $5,259 |
| Southwestern Medical CenterLawton | 14 | $48,131 | $6,164 | $4,911 |
| Great Plains Regional Med CtrElk City | 13 | $21,339 | $6,506 | $5,177 |
| Integris Baptist Reg Hlth CtrMiami | 12 | $30,512 | $6,107 | $4,777 |
| Woodward Regional HospitalWoodward | – | – | – | – |
| Hillcrest Hospital PryorPryor | – | – | – | – |
| Integris Bass Baptist Health CenterEnid | – | – | – | – |
| Oklahoma State University Medical CenterTulsa | – | – | – | – |
| Cushing Regional HospitalCushing | – | – | – | – |
| SSM Health St Anthony Hospital - ShawneeShawnee | – | – | – | – |
| Wagoner Community HospitalWagoner | – | – | – | – |
| Henryetta Medical CenterHenryetta | – | – | – | – |
Lowest and highest allowed amounts in Oklahoma
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Comanche County Memorial HospitalLawton, OK | $5,654 |
|---|---|
| Muskogee Regional Medical CenterMuskogee, OK | $5,758 |
| Saint Francis Hospital SouthTulsa, OK | $5,836 |
| Saint Francis Hospital, INCTulsa, OK | $5,899 |
| Summit Medical CenterEdmond, OK | $5,904 |
Highest
| Mercy Hospital AdaAda, OK | $6,601 |
|---|---|
| Mercy Memorial Health CenterArdmore, OK | $6,601 |
| Jane Phillips Medical CenterBartlesville, OK | $6,507 |
| Great Plains Regional Med CtrElk City, OK | $6,506 |
| Integris Grove General HospGrove, OK | $6,506 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Oklahoma?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 55 hospitals in Oklahoma was billed at $40,831 on average, while the average medicare-allowed amount was $6,079, of which Medicare paid $4,818. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Oklahoma, average charges were 6.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.